Billing Team Lead

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POSITION TYPE: HYBRID

SALARY RANGE: $53,600-$67,000 (Salary commensurate based on experience)

Position Summary:
The Billing Team Lead plays a critical role in managing and optimizing the billing and revenue cycle operations within a behavioral health setting. This position ensures accurate, timely, and compliant billing practices using SmartCare and various external payer portals. The Lead proactively identifies and resolves issues affecting cash flow and accounts receivable, while collaborating across clinical, administrative, and finance teams to support sustainable revenue generation and regulatory compliance. This role requires strong analytical skills, a detail-oriented mindset, and the ability to lead a team in a dynamic, compliance-driven environment.

POSITION TYPE: HYBRID
SALARY RANGE: $53,600-$67,000 (Salary commensurate based on experience)
Position Summary:
The Billing Team Lead plays a critical role in managing and optimizing the billing and revenue cycle operations within a behavioral health setting. This position ensures accurate, timely, and compliant billing practices using SmartCare and various external payer portals. The Lead proactively identifies and resolves issues affecting cash flow and accounts receivable, while collaborating across clinical, administrative, and finance teams to support sustainable revenue generation and regulatory compliance. This role requires strong analytical skills, a detail-oriented mindset, and the ability to lead a team in a dynamic, compliance-driven environment.
Key Responsibilities:

• Manage the full billing cycle, including claims submission, corrections, voids, and payment posting, using SmartCare and external vendor portals (e.g., Medicaid, Medicare, MCOs).
• Ensure all claims are submitted accurately and in a timely manner, in compliance with payer requirements and behavioral health billing regulations.
• Monitor and manage accounts receivable activity, including follow-up on unpaid, underpaid, or denied claims; recommend and implement solutions to maximize collections.
• Investigate billing issues by collaborating with insurance carriers, managed care organizations, providers, and clients to resolve denials, eligibility discrepancies, and authorization gaps.
• Oversee and continuously improve workflows for eligibility verification, service authorization, and billing documentation to reduce delays and rework.
• Train, support, and supervise billing staff, providing day-to-day guidance, reviewing work for accuracy, and fostering accountability and productivity.
• Maintain billing system accuracy in SmartCare, ensuring service codes, payer setups, and client records are up-to-date and aligned with current regulations and contracts.
• Communicate proactively with internal departments (e.g., clinical services, IT, finance) and external stakeholders to troubleshoot issues, implement updates, and share regulatory changes.
• Track changes in Medicaid, Medicare, and commercial payer requirements and behavioral health billing rules; disseminate updates to staff and adjust workflows accordingly.
• Generate and review billing reports, dashboards, and reconciliations to support revenue analysis and performance improvement efforts.
• Perform other duties as assigned to support efficient and compliant revenue cycle management.
  

• Models and reinforces Community Connections mission to provide behavioral health, residential services, and primary health care coordination for marginalized and disenfranchised women, men, youth, and children living in the District of Columbia, many of whom are coping with challenges including mental illness, addiction, and the aftermath of trauma and abuse.
• Models and reinforces Community Connections values of quality, innovation, respect, equity, and integrity daily.
• Reinforces Community Connections commitment to diversity, equity, and inclusion.
• Protects the privacy of our consumers protected health information by maintaining compliance with HIPAA and other relevant CC related IT security regulations.
• Completes and stays current on role specific and organizational wide training.
• Performs other duties as assigned on an as-needed basis.
  

• High School Diploma or equivalent required. Advanced degree preferred
• Minimum of 5 years revenue cycle work experience desirable.
• Must be knowledgeable in billing databases. Medical billing experience is desirable.
• Must have excellent computer knowledge and accurate keyboard skills
• Proficiency with Microsoft Office products
• Excellent interpersonal skills
• Ability to communicate clearly and concisely with employees at all levels, consumers, and outside vendors
• Works with a high level of professionalism, integrity, and confidentiality
• Strong customer service orientation
• Works well with deadlines and high degree of organization

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development and Sales

• Industries

  Mental Health Care

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